Article

AIM: To determine efficacy of therapy and behaviour change interventions to
increase the level of participation in leisure-time physical activities (LTPAs)
and habitual physical activity in children and young people with cerebral palsy.
METHOD: Five databases were systematically searched. Included studies were
randomized or comparison designs. Methodological quality was assessed with a
modified Downs and Black Scale. Quantitative analysis was performed using RevMan
5.3 (The Nordic Cochrane Centre, The Cochrane Collaboration, Copenhagen,
Denmark). Intervention components and behaviour change constructs were mapped
against (1) the International Classification of Functioning, Disability and
Health (ICF) and (2) the Theoretical Domains Framework. RESULTS: Searches yielded
2487 unique articles. Eight studies (nine articles) were included. Interventions
included physical training, activity level training, combined physical training
and behaviour change therapy, online behaviour change modules, and
context-focused therapy. Study quality varied from moderate to high. There was a
small, significant effect of physical activity intervention compared with passive
usual care on level of habitual physical activity, of approximately 1000
additional steps per day (standardized mean difference 0.34, 95% confidence
interval 0.03-0.66, p=0.030). There was no significant effect on LTPA
participation (standardized mean difference 0.40, 95% confidence interval -0.40
to 1.19, p=0.330). INTERPRETATION: Therapy and behaviour change interventions
have the potential to increase LTPA participation of children and young people
with cerebral palsy, although there is a need to depart from impairment-focused
approaches. Inappropriate selection of outcomes and inadequate reporting of
complex interventions are barriers to progress in this field.
CI - (c) 2017 Mac Keith Press.

Langue : ANGLAIS